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Permit No. <br /> CATION FOR SANITATION L��—e�—._ <br /> PERMIT <br /> APPLI (Complete in Duplicate) Date Issued <br /> or a permit to construct and 'Install the work herein d escrIbed. <br /> (1)�ppj,jcation is hereby made to the an Joaquin Local Health District 4 <br /> This application is made in compliance with County Ordinance No. 549. <br /> ,44 <br /> A -4 <br /> ----------------------------- <br /> Lot size <br /> Installation will serve: Residence rooms'---/--- Number of baths/------ --- <br /> Number of living units: --/--- Number of bed <br /> ' I I ommunity system D PrivafejZL Depth to Wafer Table "- ft. <br /> Wafer Supply-- Public system 0 C lay Loam El Clay [] Adobej& Hardpan <br /> Character of soil to a depth of 3 feet: Sand [] Gravel F1 Sa <br /> Previous Application Made: Yes 0 No.b4_ New Con5truc.tion- Yes §§ No E] <br /> TYPE OF INSTALLATION AND ShCIFICATIOMS: rL is available within 200 feet.) <br /> (No septic tank or cesspool �ermiffed if public sewe Material--- ---------------------- <br /> Distance from nearest w4,8,0----------Disfanc quid --------------- Capacity-rev <br /> :L earesf wei�..f-a'-----Distance from fo -- ---- k _�__qe--------------7k <br /> to nearest lot line----- --- <br /> )m,-nearest we�l -----------Distance from foundation-----_-----------Lining ma.terial <br /> I hereby certiify that I have �repared this application and ealth District. <br /> 1. jaw-s—and rules'!and regulatioNnfthe San Joaquin Local H <br /> ordinances. State, r Contracfor) <br /> By ------- to�weii,�, buildingsi etc., can be placed on reverse side). <br /> (plot plan, showing size of lot, lo�afion of system in relatioi <br /> DNLY <br /> ---------------------------- <br /> REVIEWED By--------------------------------V_ ---------------------- <br /> ------------------------------------------------------------------------ <br /> Alterations and/or recommendations' ----------a --------el <br /> FINAL INSPECTION <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 300 West Oak Street 132 Sycamore Street 814 North "C" Sfreef <br /> 130 South American Street Lod;, California - Manteca, California Tracy, California <br /> S+ockton, California <br /> ` ss-9--2w m'^z e=is"a vv-2/00 <br />